Not all hemorrhoids are accompanied by blood in the stool, which is a common symptom of hemorrhoids. In addition to blood in the stool, hemorrhoids may also have local pain in the anus, repeated prolapse of the nucleus of the internal hemorrhoid, and local itching of the perianal skin due to the prolapse of the internal hemorrhoid, or even constipation. If the hemorrhoid does not have blood in the stool, then you need to check through anoscopy whether there is an enlarged internal hemorrhoid nucleus and whether there is local pain or perianal itching, you can choose bitter ginseng lotion for local external cleansing and anal plugging of Puji hemorrhoid suppositories for symptomatic treatment. If there is pain and constipation, you can apply aromatic oil to the anal opening before each bowel movement to lubricate the stool. If the local oedema is large, you can also take oral Mizarin tablets to reduce the swelling. If the hemorrhoids are severe, the internal hemorrhoids are usually protruding, especially if they can’t retract on their own and get stuck in the anal opening, they are likely to form necrosis, so you can choose to have them surgically removed directly.